Organization Active NPI

Joseph Plastic Surgery, PLC

  • Specialist
  • Winter Park, FL
National Provider Identifier
1750418679
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME64574 Issued in FL
Legal business name
JOSEPH PLASTIC SURGERY, PLC
Practice address
340 N Wymore Rd
Winter Park, FL 32789-2823
Phone
(407) 673-3223
Fax
(407) 772-3223
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian P Joseph, MD
Title
President
Phone
(407) 673-3223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME64574 FL Primary

Addresses

Primary practice location

340 N Wymore Rd
Winter Park, FL 32789-2823

Mailing address

340 N Wymore Rd
Winter Park, FL 32789-2823
Phone (407) 673-3223

National Provider Directory

National Provider Directory

Locations

147 E Lyman Ave
Ste D
Winter Park, FL 32789
Phone (407) 296-6226

340 N Wymore Rd
Winter Park, FL 32789
Phone (407) 673-3223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1750418679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N WYMORE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892823",
            "telephone_number": "407-673-3223",
            "fax_number": "407-772-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N WYMORE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892823",
            "telephone_number": "407-673-3223",
            "fax_number": "407-772-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH PLASTIC SURGERY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-673-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME64574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.